"These 3 medicines must not be taken for a long time!" These 4 kinds of medicines must not be eaten for a long time", this kind of popular science has been very popular recently.
I don't know who the first doctor to say this was, because the number of reads is tens of millions, the number of likes is more than 2 million, so many doctors follow the trend. Either imitate such popular science, or even directly copy.
As ordinary people, of course, they are medical laymen, and I think what they say is quite reasonable. But as a doctor, it is ridiculous to be able to say such a thing.
Let's not discuss for the time being those bad practices that do not distinguish between right and wrong, just look at the amount of reading, and copy the cat and the tiger. Let's discuss the facts, just take out a few specific drugs in their science popularization and analyze them with everyone to see if these drugs cannot be eaten for a long time.
First, let's talk about the specific problems in their popular science:
1, aspirin can not be eaten for a long time
They say aspirin can't be eaten for long because they think aspirin causes bleeding.
This sentence seems to be correct, and it feels like it is still considering the problem from the perspective of ordinary people. But I ask these doctors, do you really know aspirin? Have you used aspirin clinically?
For patients with clear coronary heart disease, angina, myocardial infarction, cardiac stents, cardiac bypass, cerebral infarction, carotid artery unstable plaque and so on.
Can't you take aspirin for a long time?
At this time, if you do not take aspirin for a long time, it is a mistake. At this time, if you do not take aspirin for a long time, then it will increase the risk of blood clots. If you do not take aspirin for a long time, it will greatly increase the risk of myocardial infarction, cerebral infarction, and even sudden death.
Who gave you the courage to popularize science, and told everyone that you can't take aspirin for a long time.
Of course, if there is no clear ischemic cardiovascular and cerebrovascular disease, it is natural not necessary to take aspirin for a long time. However, there is no disease, not only do you not need to take aspirin for a long time, but you do not have to take any medicine for a long time. Therefore, aspirin cannot be taken for a long time, either do not understand aspirin nonsense, or for the purpose of reading, unscrupulous means.
Of course, long-term use must also monitor side effects and do a good job of regular review. Therefore, you can't take aspirin for a long time, which our old classmates (fans) know is wrong.
You don't know how to pretend to understand, even if you run out to be scary, it's not right.
2. Hydrochlorothiazide cannot be taken for a long time
They also say that hydrochlorothiazide cannot be eaten for long.
I would like to ask you do you know the definition of refractory hypertension?
Refractory hypertension is high blood pressure that is not well controlled under the condition of hydrochlorothiazide after taking 3 antihypertensive drugs. Therefore, for refractory hypertension, it is generally necessary to take hydrochlorothiazide for a long time. That is to say, for some people with high blood pressure, they need to take 3 kinds of antihypertensive drugs, or more than 3 kinds of antihypertensive drugs, then there must be one hydrochlorothiazide. And high blood pressure almost has to take long-term antihypertensive drugs, then naturally this part of the stubborn hypertension of people need to take hydrochlorothiazide for a long time.
How can it be said that hydrochlorothiazide can not be taken for a long time?
Moreover, hydrochlorothiazide itself is one of the 5 major categories of antihypertensive drugs, which can be used as a conventional antihypertensive drug, especially for elderly hypertension. It is also a choice for long-term use of combined antihypertensives, and even many compound antihypertensive drugs contain hydrochlorothiazide themselves.
Therefore, if you don't understand, you can learn, but don't come out and fool the people if you don't understand.
Second, we will give these two examples, and we will turn to the question of principle:
You go learn a driver's license.
The coach said: Driving my coach car, you must slam on the brakes when you park.
This sentence seems to be fine, but shouldn't the coach tell us: Do you have to slam on the brakes when driving any car to stop?
Instead of telling us to slam on the brakes when driving this coach car.
Popular science is to tell everyone a general direction, a big principle. Instead of telling the car to slam on the brakes, like this coach, the car needs to slam on the brakes. So what about the next time you drive your third car?
Many people tell everyone that this 3 drugs must not be eaten for a long time, and these 4 drugs must not be eaten for a long time.
According to this logic, I think that 30 kinds of drugs, 40 kinds of drugs can not be taken for a long time.
Because:
1, we take any prescription drugs, can not see the next door Aunt Li eat well, we learn aunt Li to take this medicine.
2, any prescription drugs are because we have some kind of chronic disease, such as hypertension, diabetes, hyperlipidemia, cardiovascular and cerebrovascular diseases, which is the basis of our medicine. Prescription medications must also be taken under the guidance of a professional doctor. This is the principle of taking medicine.
3, as for how long to eat, it is also the doctor's advice to you. Instead of deciding to eat for a while or take it for a long time. For most of the three highs and cardiovascular and cerebrovascular diseases, it is necessary to take medicine for a long time. But even if you take the drug for a long time, it is not to ignore it, but to understand the side effects of long-term use of these drugs, do a good job of long-term observation, and do a good job of regular review, which is safe medication.
In short, everyone remembers that any prescription drug, whether to eat for a long time, is determined by the disease itself; whether it can be eaten for a long time, how long to eat, must be a professional doctor according to your disease to decide; of course, long-term medicine, must do a good job of observation, do a good job of regular review.
What are the original 3 kinds of drugs that can not be eaten for a long time, and these 4 kinds of drugs cannot be eaten for a long time; and those who copy and flicker popular science without thinking, you first figure out whether to take medicine or not...